Emily Nangano
Research Pathologists' Assistant, Virginia Commonwealth University, USA
Biggest challenge in pathology? One of the biggest challenges facing the pathology field today is balancing the demands of a growing workload with the need for sustainable, long-term practices in laboratory settings. Responsible leadership is crucial in this regard, as it can foster an environment that encourages long-term tenure among lab professionals. By promoting a culture of support, recognition, and professional development, leaders can help existing employees avoid burnout, ensuring that they remain engaged and productive in their roles.
Another key challenge is the responsible integration of AI into anatomic pathology labs. While AI has the potential to significantly augment the work of laboratorians by improving accuracy and efficiency, it must be integrated in a way that enhances rather than replaces human expertise. Ensuring AI tools are implemented thoughtfully and ethically will be essential to complement the skilled work of pathologists and pathologists’ assistants, maintaining the exacting standards of care and precision required in this field.
Exciting developments and trends? The rapid advancement and expanding roles of pathologists’ assistants (PAs), particularly in fields such as forensics and research. PAs are taking on more responsibilities in the preparation and examination of surgical specimens and autopsy cases, contributing to more efficient workflows and allowing pathologists to focus on complex diagnostic tasks. In forensic pathology, PAs are increasingly involved in autopsy procedures and the analysis of forensic evidence, playing a crucial role in criminal investigations and legal proceedings. In the research domain, PAs contribute to the collection and analysis of data, supporting the development of new diagnostic techniques and treatments.
The combination of advanced digital tools and the growing expertise of pathologists’ assistants is transforming the field of pathology, leading to more accurate diagnoses, improved patient outcomes, and exciting new possibilities in research and forensic pathology.
Controversial opinion? In the evolving landscape of pathology, I firmly believe that PAs could be utilized much more robustly within anatomic pathology labs. This opinion might raise some eyebrows, but several institutions are already setting a precedent by employing PAs in roles traditionally reserved for senior residents and fellows. These roles encompass not only the grossing of specimens but also the review of slides, ordering of initial immunohistochemical stains, and even drafting preliminary diagnoses. These preliminary steps are then meticulously reviewed and confirmed by board-certified pathologists, who ultimately sign off on the cases.
Given the current shortage of pathologists, this expanded use of PAs as true pathologist extenders could significantly help bridge the workforce gap. This approach is particularly advantageous in regions where recruiting highly qualified personnel is challenging. By embracing this model, we can ensure that quality patient care is maintained while optimizing the efficiency of pathology services. While some may view this shift as controversial, I see it as a necessary evolution to meet the growing demands of our field.
